FORM 13-A REVISED





THE EMPLOYEES’PROVIDENT FUNDS SCHEME, 1952 (See Para. 57)



APPLICATION FOR INTER-REGIONAL TRANSFER OF ACCOUNTS TO BE SUBMITTED THROUGH THE PRESENT EMPLOYER



To

The Commissioner,

Employees’ Provident Fund,

Sir,

I request that the Provident Fund and Family Pension Account may please be transferred to my present Account under intimation to me. Necessary particulars regarding Provident Fund and Family Pension Fund are furnished below:

1. Name…………………………..

2. Father’s Name (or husband’s name in case of married women)…………..

3. Name and address of previous employer……………………

Whether unexempted/exempted/uncovered………………………

4. (a) Previous Provident Fund Account No………………….

(b) Previous Family Pension Fund Account No……………..

5. Date of leaving service with previous employer……………….

6. Name and address of the employer…………………………….

7. Whether unexempted/exempted/uncovered…………………….

8. (a) Present Provident Fund Account No…………………………

(b) Present Family Pension Fund Account No. (if any)……….

9. Date of joining with present employer………………………….

*Signature of left /right hand thumb-impression of the member

ENDORSEMENT TO BE COMPLETED BY THE FORWARDING AUTHORITY

Forwarded with the particulars furnished above duly verified. **(The rules of our private provident fund permit such transfer and hence the transfer may be made. The cheque may be drawn in favour of……………….including/excluding Bank Collection charges).

Signature of employer or other authorised officer of the Factory/Establishment with Official Seal.

Left hand thumb-impression in the case of illiterate male member and right hand thumb-impression in the case of illiterate female member.

**Will apply in case of transfer to uncovered establishment.

NOTE. -In case of transfer of provident fund accumulation to uncovered establishment, the benefit under Family Pension Fund Scheme should be paid to the member.